Real-world heart rate norms in the Health eHeart study
Real-world heart rate norms in the Health eHeart study
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DOI：
10.1038/s41746-019-0134-9
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发表时间：
2019-06-25
影响因子：
15.2
通讯作者：
Olgin, Jeffrey
中科院分区：
文献类型：
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作者：
Avram, Robert;Tison, Geoffrey H.;Olgin, Jeffrey
新兴技术允许患者使用智能手机等智能设备通过光电容积描记术（PPG）远程测量和记录心率（HR）。然而，这些测量的有效性和预期分布尚不清楚，使得医生难以帮助患者解释真实世界、远程和按需HR测量。我们的目标是根据HR心电图（ECG）测量值验证使用智能手机应用程序测量的HR-PPG，并根据年龄、人口统计学、体重指数、体力活动水平和疾病描述门诊外、真实世界的HR-PPG值。为了验证测量结果，我们在我们的心脏病诊所获得了50名连续患者的同步HR-PPG和HR-ECG。然后，我们使用2014年4月1日至2018年4月30日期间入组Health eHeart队列的参与者的数据，根据人口统计学和医疗条件推导出HR-PPG的真实世界标准。HR-PPG和HR-ECG高度相关（组内相关0.90）。共有66，788名健康电子心脏研究参与者提供了3，144，332个HR-PPG测量值。平均真实世界HR为79.1 bpm +/- 14.5。真实世界HR的第95百分位数为
Emerging technology allows patients to measure and record their heart rate (HR) remotely by photoplethysmography (PPG) using smart devices like smartphones. However, the validity and expected distribution of such measurements are unclear, making it difficult for physicians to help patients interpret real-world, remote and on-demand HR measurements. Our goal was to validate HR-PPG, measured using a smartphone app, against HR-electrocardiogram (ECG) measurements and describe out-of-clinic, real-world, HR-PPG values according to age, demographics, body mass index, physical activity level, and disease. To validate the measurements, we obtained simultaneous HR-PPG and HR-ECG in 50 consecutive patients at our cardiology clinic. We then used data from participants enrolled in the Health eHeart cohort between 1 April 2014 and 30 April 2018 to derive real-world norms of HR-PPG according to demographics and medical conditions. HR-PPG and HR-ECG were highly correlated (Intraclass correlation 0.90). A total of 66,788 Health eHeart Study participants contributed 3,144,332 HR-PPG measurements. The mean real-world HR was 79.1 bpm +/- 14.5. The 95th percentile of real-world HR was